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e stronger in the area that has the higher score band. YOUR ASVAB PERCENTILE SCORES Your ASVAB result
nical reasoning or evidence for exemption: DOE Code 3 I cent& that the physical condition of this child is such that immunizations) as indicated in Pan C above is medically contraindicated. Physician or Clinic Name: (Print or stamp) Physician Signature: Address: DII 450, Pd2000, obsoletes whet
RN GRD FLGS C S SCHL DS GR 130 99 3 1302000 M/J BAND 1 R 0 1691 SO 06 00 3 1302010 M/J BAND 2 H H
inical reasoning or evidence for exemption: DOE Code 3 I cestift that the physical condition of this child Lt nth that immenitatiomNat indicated in Pan C above is medically caltraindicated. Physician or Clinic Name: (flint or stamp) Address: D44 610, 1196. dada= la (4Omo (SIM Maher 574.11O:MX1106)
courses shown below require a signature. 1302000 BAND 1 1303010 CHORUS 2 Teacher 1302010 BAND 2
cal reasoning or evidence for exemption: DOE Code 3 I certify that he physical condition of this child is such that immunization(s) as indicated in Pan C above is medically contraindicated. Physician or Clinic Name: (Print or stamp) Address. Physician Signature. DN 680, &NS repbces earlier ed
stories,,anitlists whenover'possible.' "" Scorn band on normative Jan copyright *1996 by lareoun Brace
nical reasoning or evidence for exemption. DOE Code 3 1 cent that the physical condition of this child is such that immunization(s) as indicated in Pan C above is medically contraindicated. Physician or Clinic Name: (Print or stamp) Physician Signature: Address: DH 680, 8/2000, obsoktm tallitt
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